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Nebraska rates for HCPCS L0112

Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.11 / $1,070.11 / $1,070.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.11 / $1,070.11 / $1,070.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.84 / $1,622.32 / $1,638.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $1,845.86 / $1,845.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.33 / $1,845.86 / $2,846.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.87 / $1,836.77 / $7,852.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $837.16 / $1,517.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,840.45 / $1,845.86 / $2,325.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.00 / $2,181.46 / $3,802.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.92 / $837.16 / $1,313.36